Robert W Overdorf DDS, LTD
General Practice Dentistry · St Charles, IL
Practice location
11 S 2ND AveSuite 11
St Charles, IL 60174-1941
- Phone
- (630) 377-1200
NPI record
- NPI
- 1003959172
- Entity type
- Organization (Type 2)
- Enumeration date
- February 15, 2007
- Last updated
- December 27, 2012
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019.014949 | IL |
Authorized official
- Name
- Dr. Robert W Overdorf, DDS
- Title
- President
- Phone
- (630) 377-1200
About Robert W Overdorf DDS, LTD
Robert W Overdorf DDS, LTD is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 11 S 2ND Ave, Suite 11, St Charles, IL 60174-1941. The NPI number 1003959172 was assigned on February 15, 2007 and the record was last updated on December 27, 2012.
Robert W Overdorf DDS, LTD lists a license in the registry: #019.014949 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Robert W Overdorf, DDS, President.
Frequently asked questions
What is the NPI number of Robert W Overdorf DDS, LTD?
The NPI number is 1003959172.
What is the phone number of Robert W Overdorf DDS, LTD?
The phone number listed for the practice location is (630) 377-1200.
Where is Robert W Overdorf DDS, LTD located?
11 S 2ND Ave, Suite 11, St Charles, IL 60174-1941.
What is the taxonomy code for Robert W Overdorf DDS, LTD?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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